Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.30 / $1,157.44 / $14,482.00	Facility		$718.30	$1,157.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.62 / $718.30 / $2,043.45	Professional		$402.62	$718.30	$2,043.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.66 / $1,439.42 / $3,482.70	Professional		$587.66	$1,439.42	$3,482.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,437.29 / $1,679.58 / $2,709.11	Facility		$1,437.29	$1,679.58	$2,709.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.83 / $1,743.09 / $2,307.73	Professional		$1,028.83	$1,743.09	$2,307.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $565.86 / $822.74 / $1,115.53	Facility		$565.86	$822.74	$1,115.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $652.50 / $2,803.00 / $7,868.00	Facility		$652.50	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $709.38 / $2,004.98 / $3,285.24	Professional		$709.38	$2,004.98	$3,285.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $801.28 / $1,461.07	Professional		$85.00	$801.28	$1,461.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $565.86 / $822.74 / $1,115.53	Facility		$565.86	$822.74	$1,115.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,161.55 / $1,793.61 / $2,343.50	Professional		$1,161.55	$1,793.61	$2,343.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,337.33 / $14,337.33 / $14,337.33	Facility		$14,337.33	$14,337.33	$14,337.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.60 / $2,933.65 / $4,295.84	Professional		$1,000.60	$2,933.65	$4,295.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,963.93 / $2,963.93 / $2,963.93	Professional		$2,963.93	$2,963.93	$2,963.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,905.95 / $3,905.95 / $3,905.95	Professional		$3,905.95	$3,905.95	$3,905.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $709.38 / $2,016.49 / $2,814.19	Professional		$709.38	$2,016.49	$2,814.19